The disease belongs to gynecology.
3 disease overview A woman who has little or no milk during lactation, and is unable to feed her baby due to insufficient milk, is called postpartum hypogalactia. The degree and situation of breast deficiency are different: some are lacking in the early stage of breastfeeding, and later a little more but still insufficient; Some have no milk at all and cannot be fed at all; Some breast-feed normally, and after a sudden high fever or excessive emotions, the milk is suddenly not enough to feed the baby. Pregnancy, childbirth and breastfeeding are the physiological characteristics of women and a normal regulation of female hormones. Not breastfeeding not only affects the healthy growth of the baby, but also is not conducive to the recovery of the parturient, and even increases the chance of breast disease. Therefore, it is necessary to vigorously advocate normal breastfeeding after delivery and treat those who lack milk.
4 diagnostic points 1. The main diagnostic basis is that there is insufficient or no milk during breastfeeding, and it is insufficient or even impossible to feed the baby.
2. Examining the characteristics of * * * and milk is helpful to diagnose and distinguish it from milk stasis and lactation difficulty caused by * * * depression and * * * chapped.
Dialectical analysis shows that milk is produced by qi and blood and depends on the release and regulation of liver qi. Therefore, lack of milk is mostly caused by weakness of qi and blood and stagnation of liver qi, and some people can't give milk because of stagnation of phlegm and qi. Laceration first distinguishes between solid and virtual. Deficiency, thin breasts, small amount, * * * soft without swelling, or small breasts; In fact, milk is thick and small, full and painful. The treatment of hypogalactia is based on the principle of promoting lactation, supplementing deficiency to promote birth, and deficiency to promote birth.
6 Syndrome Differentiation and Treatment of Deficiency of both Qi and Blood
witness
When the mother is breastfeeding, the milk is not full or not, which is not enough to feed the baby; The milk is thin, but it is soft and does not swell. Too much lochia, pale face, mental fatigue, loss of appetite. The tongue is pale white or fat, with white fur and thin pulse. processing method
Supplementing qi and nourishing blood, increasing fluid and promoting lactation. Herbs on the prescription
The main prescription: Tongru Dan (Fu Shan Fu Qingzhu Gynecology) has the following formula: Radix Codonopsis 20g, Radix Astragali 30g, Radix Angelicae Sinensis 15g, Radix Ophiopogonis 15g, medulla Tetrapanacis 6g, Radix Platycodi 10g, Rhizoma Polygonati 20g, Semen Vaccariae 12g, Polygonum multiflorum 20g, etc. Decoct with water. Morinda officinalis, Radix Rehmanniae Preparata, cornu Cervi Pantotrichum cream or stewed chicken with cornu Cervi Pantotrichum can be added for patients with congenital deficiency of kidney qi and weakness of chong Ren. For patients with spleen and stomach weakness, remove trotters and Polygonatum sibiricum, and add hawthorn, Poria and dried tangerine peel. Motherwort and processed ginger are added to those with excessive lochia. Syndrome of liver depression and qi stagnation
There is little or no postpartum milk, or normal or little milk on weekdays, and suddenly there is little or no milk after seven internal injuries; The milk is thick, hard and painful, or hot for a long time. Depression, chest pain, loss of appetite. The tongue is dark red or sharp-edged red, with yellow fur and a number of pulse strings. processing method
Soothes the liver and relieves depression, dredging collaterals and promoting lactation. Herbs on the prescription
Main prescription: Xiaru Yongquan Decoction (the prescription of Qingtai Hospital): Angelica sinensis 15g, Ligusticum chuanxiong 9g, Radix Rehmanniae 15g, Radix Paeoniae Alba 15g, Radix Bupleuri 10g, Pericarpium Citri Reticulatae Viride 10g, Trichosanthes 30g, and Radix Rhapontici 6544. Decoct with water. If * * * is swollen badly and reddened locally, dandelion, Fructus Forsythiae and Prunellae Spica can be added. If * * * is depressed or chapped, and it is difficult to breastfeed, you can use a bra to assist breastfeeding. If the lochia is unclean, add motherwort and seven leaves and one flower. Other therapies 1, acupuncture therapy for deficiency of qi and blood, mainly at Zuyangming meridian points, including Hanzhong, Rugen, Pishu and Zusanli; Acupuncture plus moxibustion. For those with liver depression and qi stagnation, the acupoints of Jueyin meridian of hand and foot are mainly selected. Zhongshan, Rugen, Shaoze, Neiguan and Taichong; Acupuncture and purgation.
2, diet (mainly suitable for deficiency syndrome, lack of milk) (1) Octopus papaya soup: 500 grams of South papaya, Octopus 150 grams, * * soup diet. (2) Bighead soup: 1 fish head, 3 slices of ginger. Stir-fry the ginger in the pot for a while, then put the fish head in the pot, cook the soup and season it. (3) Stewed chicken soup with coconut: 65,438+0 chickens and 65,438+0 coconuts, each washed, cooked and seasoned.
3, prevention and care (1) do a good job of prenatal examination, found anemia, timely correction. When it is found that * * * is drooping, it is required to scrub it with soap, pull it out in the shower every day, and try to correct it. (2) Early postpartum breastfeeding and regular breastfeeding. When breast milk is found to be insufficient, treat it as soon as possible to prevent premature breast regrowth. (3) Pay attention to rest, increase nutrition and adjust mood. If the mother does not want to breastfeed, or the baby can be weaned after 8 months, it is best to breastfeed with Chinese medicine. If the breast does not return or the breast does not return completely, it may lead to long-term galactorrhea, irregular menstruation or even amenorrhea and galactorrhea in the future. The following two methods can be used for milk withdrawal:
1, stir-fried malt 60 ~ 90g, and decocted in water to make tea, once a day 1 dose, for about 7 days.
2. Prescription of Mianhuai Powder (Wu's Outline): angelica tail 15g, Carthamus tinctorius 6g, Radix Paeoniae Rubra 15g, Radix Cyathulae 20g, malt 60g, orange pit 15g, Fructus Trichosanthis 15g and dandelion 30g. Decoct with water. And pay attention to prevent the occurrence of breast carbuncle.
Treat postpartum hypogalactia's acupoints, such as coma, headache, stiff neck, sore throat, nosebleed, blurred vision, breast abscess and hypogalactia. Shaoze point is mainly used to treat apoplexy, coma, epilepsy and carbuncle; Headache, blurred eyes, ...
Xiao Jifeng has coma, headache, stiff neck, sore throat, nosebleed, blurred vision, breast abscess, breast loss and other symptoms. Shaoze point is mainly used to treat apoplexy, coma, epilepsy and carbuncle; Headache, blurred eyes, ...
Shao Zefeng has coma, headache, stiff neck, sore throat, nosebleed, blurred vision, breast abscess, breast loss and so on. Shaoze point is mainly used to treat apoplexy, coma, epilepsy and carbuncle; Headache, blurred eyes, ...
Three needles in the chest.